| Entity Name: | KATHRYN DOMINGUEZ PSYCHOTHERAPY, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 24 Jun 2022 (3 years ago) |
| Document Number: | L22000286478 |
| FEI/EIN Number | 88-2950960 |
| Address: | 12480 SW 104 TERRACE, MIAMI, FL 33186 |
| Mail Address: | 12480 SW 104 TERRACE, MIAMI, FL 33186 |
| ZIP code: | 33186 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1295459071 | 2022-09-27 | 2022-09-27 | 12480 SW 104TH TER, MIAMI, FL, 331863617, US | 12480 SW 104TH TER, MIAMI, FL, 331863617, US | |||||||||||||
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| Phone | +1 786-292-1925 |
Authorized person
| Name | KATHRYN DOMINGUEZ |
| Role | BUSINESS OWNER |
| Phone | 7862921925 |
Taxonomy
| Taxonomy Code | 101YM0800X - Mental Health Counselor |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| DOMINGUEZ, KATHRYN, LMHC | Agent | 12480 SW 104 TERRACE, MIAMI, FL 33186 |
| Name | Role | Address |
|---|---|---|
| DOMINGUEZ, KATHRYN, LMHC | Manager | 12480 SW 104 TERRACE, MIAMI, FL 33186 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G23000042310 | THE BUNDLED BEBE | ACTIVE | 2023-04-03 | 2028-12-31 | No data | 12480 SW 104 TERRACE, MIAMI, FL, 33186 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-05 |
| ANNUAL REPORT | 2023-03-18 |
| Florida Limited Liability | 2022-06-24 |
Date of last update: 11 Feb 2025
Sources: Florida Department of State
